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[Recurrent Miller-Fisher syndrome].

F Battaglia1, F Attane, A Robinson

  • 1Service de Neurologie, Centre Hospitalier A. Gayraud, Carcassonne. fabrice.battaglia@ch-carcassonne.fr

Revue Neurologique
|October 26, 2005
PubMed
Summary
This summary is machine-generated.

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Recurrent Miller-Fisher syndrome (MFS) is exceptionally rare. This case highlights unusual clinical, biological, and electrophysiological features in a patient with two MFS episodes over 19 years.

Area of Science:

  • Neurology
  • Autoimmune Disorders

Background:

  • Miller-Fisher syndrome (MFS) is a rare autoimmune post-infectious neurological disorder.
  • It is characterized by ataxia, ophthalmoplegia, and areflexia, often considered a variant of Guillain-Barré syndrome (GBS).
  • MFS is typically associated with anti-GQ1b antibodies and electrophysiological abnormalities.

Observation:

  • A 54-year-old woman experienced two episodes of MFS over 19 years.
  • The first episode presented as classical MFS, while the second was extensive, involving tetraparesis and respiratory failure.
  • This patient had normal CSF protein levels and brain MRI findings.

Findings:

  • The patient exhibited strongly positive anti-GQ1b antibodies and slightly positive anti-GM1/anti-GM2 antibodies.
  • Electromyography revealed isolated sensory abnormalities in the median nerve territory.

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  • Campylobacter jejuni serology was negative, ruling out a common trigger.

    • Implications:

    • This case expands the understanding of recurrent MFS, demonstrating unusual clinical presentations.
    • It underscores the importance of considering atypical features in recurrent MFS diagnosis.
    • The findings contribute to the literature on the variable clinical and biological spectrum of MFS.